| Evolve Psych Group, PLLC | |
|
1109 Meadowlark Ln Waxhaw NC 28173-7501 | |
| (631) 553-9460 | |
| Not Available |
| Full Name | Evolve Psych Group, PLLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1109 Meadowlark Ln, Waxhaw, North Carolina |
| Authorized Official Name and Position | Allison Becker (PRESIDENT) |
| Authorized Official Contact | 6315539460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Psych Group, PLLC 1109 Meadowlark Ln Waxhaw NC 28173-7501 Ph: (631) 553-9460 | Evolve Psych Group, PLLC 1109 Meadowlark Ln Waxhaw NC 28173-7501 Ph: (631) 553-9460 |
| NPI Number | 1356088389 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 05/20/2022 |
| Certification Date | 05/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356088389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
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